My new test results....

[Katherine123]

Just thinking it is better to post all my new test results...they came in yesterday...some help in interpretating them would be so appreciated, thank you xX

Biochemistry

CRP 2.40 <5.0 mg/L

Ferritin 130.8 20 - 150 ug/L

Thyroid Function

TSH 0.91 0.27 - 4.20 IU/L

T4 Total 132.0 64.5 - 142.0 nmol/L

Free T4 H 22.47 12 - 22 pmol/L

Free T3 4.28 3.1 - 6.8 pmol/L

Immunology

Anti-Thyroidperoxidase abs 9.9 <34 kIU/L

Anti-Thyroglobulin Abs 13.0 <115 kU/L

Vitamins

Vitamin B12 H >1476 Deficient <140 pmol/L

Insufficient 140 - 250

Consider reducing dose >725

Serum Folate H >45.4 10.4 - 42.4 nmol/L

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Page 1 of 1 FINAL REPORT

* referred test, contact lab for details of the referral lab.

[Clutter]

Katherine123,

TSH is low in range but not suppressed. FT4 is mildly over range but not enough to suggest reducing dose. FT3 is less than halfway through range which indicates you aren't converting very well. If you are still symptomatic a dose increase would raise FT4 and FT3 but I think you'll struggle to get your GP to agree.

If you are supplementing methylcobalamin, folate and iron you can reduce dose as B12 and folate are over range, and ferritin is high in range.

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I am not a medical professional and this information is not intended to be a substitute for medical guidance from your own doctor. Please check with your personal physician before applying any of these suggestions.

[Katherine123 in reply to Clutter]

Hello Clutter sorry for late reply I could not find the post....these are Horizon lab results....and they said it indicated I am hyperthyroid??? so I have not taking any levo last night and struggling somewhat today although I did have a late night too....I still don't feel good so maybe it is that I am not converting FT3 very well. I do take selenium now (been over a year and felt so much better taking that). I cannot stop my hair fall out at all. My Gp does not know much about thyroid and does admit it....I am supplementing B12 sublingual 5000 iu's about 3 times a week I will stop that. I do not supplement folate or iron. My vitamin D is way over range too so I am going to stop supplementing that too.

[Katherine123 in reply to Clutter]

Clutter here is the email from Blue Horizon .... This is a hyperthyroid result (overactive thyroid gland). The high free thyroxine level suggests that there is some issue with your thyroid function though it has yet to affect your TSH levels. You may have symptoms already - including weight loss, rapid heart rate, sweating and anxiety, amongst others. If you are already taking thyroxine, your dose may be too high - if not, this result suggests that hyperthyroidism is a possibility. I advise you to contact your usual doctor to discuss this finding in due course.

The Vitamin B12 level is elevated. This is not likely to represent significant overdose, as B12 is well tolerated by the great majority of people – even in very high concentrations (as indeed are most water soluble vitamins). Excess levels are usually a result of supplementation or from following a diet rich in the vitamin. A few exceptions to this rule include those who suffer from a rare hereditary eye complaint known as Leber’s disease. Too much vitamin B12 in these individuals can lead to damage of the optic nerve, which might lead to blindness. Anyone who is allergic to cobalt should also avoid taking vitamin B12 – as the vitamin contains a significant amount of this element. Rarely, high dose supplements or injections of Vitamin B12 cause diarrhoea, itching, blood clotting and allergic reactions. Liver disease and myeloproliferative disease (disorder of the bone marrow) can lead to elevated levels of B12. However, some practitioners advocate high doses of Vitamin B12 to help sufferers from Chronic Fatigue Syndrome (CFS) and to combat the development of Alzheimer's disease, amongst other conditions.

The Folate (sometimes known as Vitamin B9) level is elevated. As with high doses of Vitamin B12, this situation is not likely to represent a significant overdose – as a water soluble vitamin, it is usually well tolerated by humans even in high concentrations. Supplementation or following a diet rich in the vitamin (for example fresh green vegetables) is the usual reason behind a high level of folate in the blood. Excess folate in the presence of low Vitamin B12 levels can lead to problems however – the B12 deficiency can be masked by the action of folate which will apparently resolve the megaloblastic anaemia caused by deficiency of either vitamin, but will not resolve the effects of B12 lack. It is important therefore to ensure that the Vitamin B12 level is acceptable - which of course is the case here - if a high Folate level is detected.

We always recommend (although the choice is yours) that you share these results with your usual G.P. who will have access to not only your medical history, but also your physical self and will therefore be in a better position than ourselves to make a full assessment of any symptoms you are experiencing.

If we can be of any further assistance or you wish your blood sample to be tested for other parameters before it is destroyed (7 days from sample receipt) then please do not hesitate to contact us.

Yours in health

Helen Roberts

Sent by Rowenna Macormac

Results Service | Blue Horizon Medicals

[Clutter in reply to Katherine123]

Katherine123,

The BH doctor is assuming you are not taking Levothyroxine and that high FT4 indicates hyperthyroidism. You are mildly over medicated, so mildly that it is insignificant and there is no need to reduce dose unless you feel over medicated.

I would maintain B12 levels by supplementing 1,000mcg. You could quarter your 5,000mcg lozenges and then replace them with 1,000mcg lozenges.

[Katherine123]

Awww! Clutter thank you so much....I panicked and stop my 100mcg levo :0( I was hyper last year at that was awful :0( and no I don't feel over medicated sill tired all the time :0( thank you xX